Prior authorization reporting is now subject to public disclosure requirements under CMS-0057-F. Publication status alone does not establish usability, comparability, or completeness.
Plans report in different formats, at different URLs, with inconsistent definitions and varying levels of granularity. The result is a fragmented public dataset that requires source mapping, normalization, and review before it can be interpreted across plans.
The Prior Auth Index maps source locations, tracks publication status, summarizes available metrics, and identifies limitations in usability and comparability.
The Prior Auth Index is built for people who need to understand prior authorization from both angles; the published data and the operational reality behind it:
- Revenue cycle and utilization management teams tracking payer reporting patterns and operational shifts
- Consultants and analysts researching prior authorization trends across markets
- Healthtech operators evaluating payer infrastructure and emerging vendor patterns
- Payer strategy and contracting teams reviewing plan-level metrics and regulatory movement
- Journalists and researchers studying prior authorization patterns
- Anyone who wants the monthly analysis without digging through the raw filings themselves